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Lilliputian Hallucinations

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by

Joseph Moore

on 30 January 2014

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Transcript of Lilliputian Hallucinations

"Alice In Wonderland Syndrome"
(Lilliputian Hallucinations or Todd's Syndrome)

WHAT IS IT?
CAUSES
Many causes, but largely unsupported:
Migraines or family history of migraines
(although individual may not feel any head aches)
Drug abuse
Poor eyesight
Mental disorders (schizophrenia)
Brain Infection
Brain lesions (epilepsy)
Damage to temporal-parietal cortical junction
Damage to occipital white matter
…...Etc.......
TREATMENT
Skepticism as to what really works
Anticonvulsants
Beta-blockers
Calcium channel blockers
Antidepressants
Electroshock
Anxiolytics
Napping
Magic Mushrooms? WHAT?!
(Tainers, 2013)
RESEARCH
Research suggests that the signals between the brain and the eyes is altered and the blood flow is interrupted causing the brain to misinterpret what the eyes are relaying (Tainers,2013).

Temporal lobe seizure/temporal lobe epilepsy can also cause lilliputian hallucinations (Brumm et. al, 2010).

Scans have revealed increased activation of parietal lobe, abnormal activity in the primary and extrastriate visual region, and malfunctions in the posterior visual cortical regions ((Brumm et. al, 2010).
Image by goodtextures: http://fav.me/d2he3r8
Complex hallucinations of objets, animals, or humans that can either be perceived as much larger or much smaller than they really are and sometimes appear as much farther or closer than they really are (Prabhat & Murthy, 2007).
These hallucinations can be visual, tactile (touch), auditory, olfactory, gustatory, and sometimes come in the form of time perception, but few instances of individuals with smell or taste hallucinations (Persch, 2010)
Symptoms can last from seconds to minutes and can occur multiple times throughout the day and continue for weeks and then suddenly vanish for months at a time (Persch, 2010)
CASE STUDIES
MR. R 40y/o
History of Hallucinations and declined care of self
Heard multiple male voices discussing him, and his thoughts were being broadcast on TV and radio (did not elaborate)
He reported seeing small people on his food and was scared they were going to choke him, later they chased him around the house trying to hurt him
Electroencephalography showed sharp waves in frontal lobe, and was diagnosed with schizophrenia
Medicated with two drugs and showed improvement (zuclopenthixol decanoate (antipsychotic) & olanzapine (antipsychotic))
MR. B 25y/o
Excessive consumption of alcohol and abnormal behavior, diagnosed with alcohol dependence syndrome (1-1.5 liters drank per day)
Two weeks before admission he reduced drinking to half of regular intake
Led to reduced sleep and hallucinating little people around the house (1ft high, colorful dresses, weird faces, big eyes and mouths, some had glasses) He could hear their footsteps and would find them drinking his blood which made him feel weak.
Analysis showed tremors and increased liver enzymes.
Treatment was abstinence from alcohol and a continually reduced amount of Lorazepam (anxiolytic)
MRS. C 80y/o
Diminishing vision and visual hallucinations
Saw small men, women, and children peeping on her from cupboards, doorways, curtains, or hide in the carpet, and the especially enjoyed watching her undress. She also saw small black cats and complained of touch and smell halluciantions.
Analysis revealed poor eye sight, osteoarthritis, and tomography scan revealed age related changes, and diagnosed with Charles Bonnet syndrome.
Treatment was timoptol eye drops (beta-blocker) for her glaucoma and retinal arterial occlusion, visual hallucinations reduced dramatically
"Mini Mutilators"
"Tiny Vampires"
"Little Peeping Toms"
References

Brumm, K., Walenski, M., Haist, F., Robbins, S., Granet, D., & Love, T. (2010, July 3). Functional mri of a child with alice in wonderland syndrome during an episode of micropsia. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2928409/


Persch, J. (2010, March 9). When the world looks like a real-life wonderland. Retrieved from http://www.nbcnews.com/health/when-world-looks-real-life-wonderland-1C9926899


Prabhat, C., & Murthy, P. (2007). Understanding a strange phenomenon: Lilliputian hallucinations. German Journal of Pyschiatry, Retrieved from http://www.gjpsy.uni- goettingen.de/gjp-article-chand.pdf


Tainers. (2013, July 13). What is alice in wonderland syndrome and how can you treat the symptoms. Retrieved from http://www.yurtopic.com/health/diseases-conditions/alice-syndrome.html
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